Using DNA methylome screening to improve live birth rates in IVF
Whether Using DNA Methylome to Select Embryos Can Increase the Live Birth Rate During Assisted Reproductive Technology: A Multicenter, Randomized , Open-label Clinical Trial.
This study is testing if using DNA screening to choose embryos can help women undergoing IVF have more successful pregnancies compared to the usual methods.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1146 (estimated) |
| Ages | 20 Years and up |
| Sex | Female |
| Sponsor | Shandong University Academic / other |
| Locations | 28 sites (Jinan, Shandong and 27 other locations) |
| Trial ID | NCT05442125 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate whether selecting embryos based on DNA methylome screening can enhance live birth rates compared to conventional in-vitro fertilization methods. The research focuses on the role of DNA methylation in embryogenesis and its potential as a biomarker for selecting viable embryos. Women undergoing IVF treatment who have good-quality blastocysts will be randomly assigned to either the DNA methylome screening group or the conventional morphologic scoring group. The goal is to validate the effectiveness of Pre-implantation Methylome Screening (PIMS) in improving outcomes in assisted reproductive technology.
Who should consider this trial
Good fit: Ideal candidates are women aged 20 years and older who are planning to undergo IVF and have at least two good-quality blastocysts.
Not a fit: Patients with uterine abnormalities or those using donated gametes are unlikely to benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly increase the chances of live births for women undergoing IVF.
How similar studies have performed: While the use of DNA methylome screening is a novel approach, previous studies have suggested that similar methodologies may improve embryo selection outcomes.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Women who plan to undergo IVF/ICSI/PGT-A treatment. 2. Women aged 20 years and older. b) Women who obtain 2 or more good-quality blastocysts that defined as morphological score of inner cell mass B or A, trophectoderm C or better, and grade 4 or better on Day 5 of embryo culture. Exclusion Criteria: 4.2 Exclusion Criteria 1. Women with a uterine cavity abnormality, such as a uterine congenital malformation (uterus unicornate, bicornate, or duplex); untreated uterine septum, submucous myoma, or endometrial polyp(s); or with history of intrauterine adhesions. 2. Women who are indicated and planned to undergo preimplantation genetic testing for structural rearrangements (PGT-SR) or preimplantation genetic testing for monogenic (PGT-M). 3. Women who use donated oocytes or sperm to achieve pregnancy; 4. Women with contraindication for assisted reproductive technology or for pregnancy, such as poorly controlled Type I or Type II diabetes; undiagnosed liver disease or dysfunction (based on serum liver enzyme testing); renal disease or abnormal serum renal function; significant anemia; history of deep venous thrombosis, pulmonary embolus, or cerebrovascular accident; uncontrolled hypertension, known symptomatic heart disease; history of or suspected cervical carcinoma, endometrial carcinoma, or breast carcinoma; undiagnosed vaginal bleeding.
Where this trial is running
Jinan, Shandong and 27 other locations
- Shandong University — Jinan, Shandong, China (Recruiting)
- Center for Reproductive Medicine, Center for Prenatal Diagnosis First Hospital, Jilin University — Changchun, China (Recruiting)
- Clinical Research Center for Reproduction and Genetics in Hunan Province, Reproductive and Genetic Hospital of CITIC-XIANGYA — Changsha, China (Recruiting)
- 900 th Hospital of Joint Logistics Support Force — Fuzhou, China (Recruiting)
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University — Fuzhou, China (Recruiting)
- Guangzhou Womenand Children's Medical Center — Guanzhou, China (Recruiting)
- The Sixth Affiliated Hospital of Sun Yat-sen University — Guanzhou, China (Not_yet_recruiting)
- Center for Reproductive Medicine, The Affiliated Hospital of Guizhou Medical University — Guiyang, China (Recruiting)
- The first affiliated hospital of Hainan Medical University — Haikou, China (Recruiting)
- Assisted Reproduction Unit, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine — Hangzhou, China (Recruiting)
- The First Affiliated Hospital of Anhui Medical University — Hefei, China (Recruiting)
- Center for Reproductive Medicine, Shandong University — Jinan, China (Recruiting)
- Affiliated Hospital of Jining Medical University — Jining, China (Recruiting)
- Liuzhou Hospital of Guangzhou Women and Children's Medical Center — Liuzhou, China (Recruiting)
- Department of Reproductive Medicine, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital — Nanjing, China (Recruiting)
- The First Affiliated Hospital with Nanjing Medical University — Nanjing, China (Recruiting)
- Center for Reproductive Medicine, Ren Ji Hospital, School of Medicine,Shanghai Jiao Tong University — Shanghai, China (Recruiting)
- Changhai Hospital — Shanghai, China (Not_yet_recruiting)
- International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University — Shanghai, China (Not_yet_recruiting)
- Reproductive Medical Center of Ruijin Hospital, School of Medicine,Shanghai Jiao Tong University — Shanghai, China (Not_yet_recruiting)
- Shanghai Ji Ai Genetics and IVF Institute, Obstetrics and Gynecology Hospital, Fudan University — Shanghai, China (Not_yet_recruiting)
- Shenzhen Maternity & Child Healthcare Hospital — Shenzhen, China (Recruiting)
- The Second Hospital of Hebei Medical University — Shijiazhuang, China (Recruiting)
- Center for reproduction and genetics,suzhou municipal hospital — Suzhou, China (Recruiting)
- The General Hospital of Ningxia Medical University — Yinchuan, China (Recruiting)
- Department of Reproductive Medicine, the Third Affiliated Hospital of Zhengzhou University — Zhengzhou, China (Recruiting)
- Reproductive Medical Center, Henan Provincial People's Hospital — Zhengzhou, China (Recruiting)
- Siriraj hospital, Mahidol university — Bangkok, Thailand (Not_yet_recruiting)
Study contacts
- Principal investigator: Yun Sun, Professor — Center for Reproductive Medicine, Ren Ji Hospital, School of Medicine,Shanghai Jiao Tong University
- Study coordinator: Yuan Gao, Professor
- Email: gaoyuan@sduivf.com
- Phone: 0531-86569866
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.